Unique ID issued by UMIN | UMIN000001279 |
---|---|
Receipt number | R000001557 |
Scientific Title | A comparison of a combination drug of an angiotensin II receptor antagonist and a low-dose diuretic vs. a high-dose angiotensin II receptor antagonist in hypertensive patients |
Date of disclosure of the study information | 2008/08/01 |
Last modified on | 2012/02/03 16:09:08 |
A comparison of a combination drug of an angiotensin II receptor antagonist and a low-dose diuretic vs. a high-dose angiotensin II receptor antagonist in hypertensive patients
Kamanza Anti-Hypertensive Treatment Trial (KAHT-Trial)
A comparison of a combination drug of an angiotensin II receptor antagonist and a low-dose diuretic vs. a high-dose angiotensin II receptor antagonist in hypertensive patients
Kamanza Anti-Hypertensive Treatment Trial (KAHT-Trial)
Japan |
Hypertension
Cardiology |
Others
NO
Changes in blood pressure are to be compared between the losartan / HCTZ group and the high-dose angiotensin II receptor antagonist group in hypertensive patients. Glucose metabolism markers, changes in serum uric acid and safety are also to be compared between the two groups.
Safety,Efficacy
Exploratory
Explanatory
Phase IV
Change and % change in blood pressure after 3months of treatment
- Change and % change in serum uric acid and serum blood glucose level after 3, 6 and 12 months of treatment.
- Change and % change in blood pressure after 6 and 12 months of treatment.
- Change and % change in HbA1c, microalbuminuria and BNP after 6 and 12 months of treatment.
- Safety throughout the treatment period
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
NO
Institution is not considered as adjustment factor.
NO
Numbered container method
2
Treatment
Medicine |
losartan / HCTZ group
high-dose angiotensin II receptor antagonist group
20 | years-old | <= |
85 | years-old | > |
Male and Female
1) Patients with essential hypertension, who have been previously treated with antihypertensive drugs including standard- dose ARB for more than 3 months, however, whose blood pressure has not been adequately controlled (systolic blood pressure >140 mmHg and/or diastolic blood pressure >90mmHg)
2) Men and women aged 20 to 85 years at the time of the first visit.
3) Outpatients
4) Patients who fully understand the study procedures explained to them using explanatory notes and have given written informed consent to participate in the study
1) Patients under treatment with diuretics
2) Patients with office systolic blood pressure ≥ 180mmHg or office diastolic blood pressure ≥ 110mmHg
3) Patients with malignant hypertension
4) Patients who have stroke, myocardial infarction or other critical vascular complications that required hospitalization within 6 months prior to informed consent
5) Patients with liver dysfunction (ALT [GOT] and/or AST [GPT] over three times the normal value)
6) Patients with renal failure (serum creatinine ≥2.0 mg/dL)
7) Patients with a gout attack or hyperuricemia (≥8.0mg/dL)
8) Pregnant or breast feeding female patients, including one trying to conceive pregnancy during the planned study period
9) Patients with uncontrolled arrhythmia
10) Patients with severe valvular disease including mitral stenosis and incompetence of aortic valve
11) Patients with cardiac insufficiency (NYHA grade III or IV)
12) Patients with a history of hypersensitivity to ingredients of losartan potassium
13) Patients with a history of hypersensitivity to thiazide or thiazide-like diuretics
14) Patients who are considered not eligible for the study by the attending doctor due to medical reasons
200
1st name | |
Middle name | |
Last name | Makoto Kitamura |
Kyoto Second Red Cross Hospital
Cardiology
355-5 Haruobicho, Marutamachiagaru, Kamanzadori, Kamigyo-ku, Kyoto-Shi
075-231-5171
1st name | |
Middle name | |
Last name | Hiroshi Fujita |
Vascular Care Network (VCN) Kamanza study group secretariat
Vascular Care Network (VCN) Kamanza study group secretariat
Cardiology , Kyoto Second Red Cross, Hospital 355-5 Haruobicho, Marutamachiagaru, Kamanzadori, Kami
075-231-5171
Vascular Care Network (VCN) Kamanza study group
Japan Vascular Disease Research Foundation
Non profit foundation
Japan
NO
2008 | Year | 08 | Month | 01 | Day |
Unpublished
2008 | Year | 02 | Month | 06 | Day |
2008 | Year | 03 | Month | 01 | Day |
2009 | Year | 12 | Month | 01 | Day |
2008 | Year | 07 | Month | 31 | Day |
2012 | Year | 02 | Month | 03 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001557